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Antimicrobial susceptibility and serotypes of Neisseria meningitidis and Streptococcus pneumoniae in Sri Lanka:Experience from the National Reference Laboratory

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Asian Pacific Journal of Tropical Medicine 2022年第3期15卷 114-120页

作者： Lilani Karunanayake Veeraraghavan Balaji K.D.N.Gunawardana Rosemol Varghese Vayishnavi Ariram Malka Dassanayake Vaithehi Rajeevan Francis Lakmini Yapa chamika herath Nambage Shirani Chandrasiri Priyanka Wimalagunawardhana K.Dhananja Namalie C.T.Hapuarachchi Department of Bacteriology Medical Research InstituteColomboSri Lanka Department of Microbiology Christian Medical CollegeVelloreIndia Lady Ridgeway Children’s Hospital ColomboSri Lanka Department of Pathophysiology Faculty of Healthcare SciencesEastern UniversitySri Lanka Teaching Hospital AnuradhapuraSri Lanka District General Hospital MoneragalaSri Lanka Colombo South Teaching Hospital KalubowilaSri Lanka District General Hospital PolonnaruwaSri Lanka North Colombo Teaching Hospital RagamaSri Lanka District General Hospital MannarSri Lanka

Objective:To determine the antimicrobial susceptibility and serotypes of Neisseria(N.)meningitidis and Streptococcus(S.)pneumoniae in Sri Lankan ***:We retrospectively analyzed 11 blood culture specimens from suspected patients with invasive meningococcal disease and 26 *** clinical *** tested 6 antimicrobials against *** and 12 antimicrobials against *** serogroup was determined by realtime PCR and Quellung serotyping was used for pneumococcal ***:*** serogroup B was the most common in this ***-susceptibility to penicillin was seen in 75.0%(6/8)of *** to ciprofloxacin,levofloxacin and cotrimoxazole was 62.5%(5/8),62.5%(5/8)and 87.5%(7/8),*** susceptibility was seen in cefotaxime and *** ***,the most common serotype was 19F in both invasive and non-invasive pneumococcal *** majority of strains showed multidrug *** non-susceptibility in non-meningeal strains were 13.6%and all meningeal strains were penicillin *** was highly resistant in both *** showed excellent susceptibility in non-invasive pneumococcal diseases ***,levofloxacin and vancomycin showed 100.0%susceptibility in all pneumococcal ***:Implementation of vaccines should be considered,especially for children and high-risk *** may contribute to reducing pneumococcal and meningococcal invasive disease burden and help prevent emergence of antimicrobial resistant strains.

关键词： Neisseria meningitidis Streptococcus pneumoniae Sri Lanka Antimicrobial resistance Serotypes Invasive bacterial diseases

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